Stidham, April

Stidham, April is an individual health care provider with primary practice located at 1901 S Shady St , Mountain City TN 37683-2021. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stidham, April can be contacted via phone (423) 439-4515.

Contact Information

Primary practice address
1901 S Shady St Mountain City TN 37683-2021
Phone: (423) 439-4515
Fax: (423) 439-4060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024086394 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7078 Tennessee

Profile Details

NPI number 1245285907
LBN Legal business name Stidham, April
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 20th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245285907 NPPES
Virginia MEDICAID 007787804
Virginia MEDICAID 78004900

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